Individual
VERNA M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PNP
Contact information
Practice address
300 PASTEUR DR, SUMC - PEDS PHYS BILLING, MC: 5530, STANFORD, CA 94305-2200
(650) 498-7391
(650) 725-7888
Mailing address
725 WELCH RD, SUMC - PEDS PHYS BILLING, MC: 5530, PALO ALTO, CA 94304-1601
(650) 498-7391
(650) 725-7888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP3029
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238774
RN
CA
Enumeration date
11/16/2007
Last updated
11/20/2007
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